Provider Demographics
NPI:1093848954
Name:CARR, MELISSA LYNN (OD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:LYNN
Last Name:CARR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 W 34TH ST
Mailing Address - Street 2:MACYS VISION EXPRESS
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-2101
Mailing Address - Country:US
Mailing Address - Phone:212-494-7300
Mailing Address - Fax:212-494-1123
Practice Address - Street 1:151 W 34TH ST
Practice Address - Street 2:MACYS VISION EXPRESS
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-2101
Practice Address - Country:US
Practice Address - Phone:212-494-7300
Practice Address - Fax:212-494-1123
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV006997152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist